Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $173.78 / $190.55	Facility	26	$75.86	$173.78	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $323.59	Professional		$147.91	$165.96	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $208.93	Professional	26	$74.13	$85.11	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $83.18 / $131.83	Professional	TC	$64.57	$83.18	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $446.68	Professional		$75.86	$154.88	$446.68
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $85.11 / $91.20	Professional	26	$72.44	$85.11	$91.20
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $85.11 / $93.33	Professional	TC	$77.62	$85.11	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $676.08	Professional		$123.03	$251.19	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $128.82 / $338.84	Professional	26	$85.11	$128.82	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $125.89 / $331.13	Professional	TC	$33.88	$125.89	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $371.54	Professional		$173.78	$204.17	$371.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $177.83	Professional	26	$85.11	$97.72	$177.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $104.71 / $194.98	Professional	TC	$91.20	$104.71	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $467.74	Professional		$97.72	$281.84	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $154.88 / $223.87	Professional	26	$63.10	$154.88	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $181.97 / $245.47	Professional	TC	$35.48	$181.97	$245.47